Medical assistant Yayé Aissa Boubacar administers a tetanus injection to Amadou Saâotatou, 18 years old, 5 months pregnant at the Saguia health centre, Niamey, Niger on February 16, 2016. The Saguia Health Centre serves a population of 9353 people thanks to a team of 20 people including 3 nurses and 4 midwives who receive pregnant women for prenatal consultations from Monday to Friday. During the first prenatal consultation the pregnant women receive a first dose of vaccinations and a booster on their second consultation. The third, fourth and fifth doses are administered later. This vaccination reinforces the immunity of the mothers and their children. The vaccination for against tetanus is free for pregnant women children under 5 years of age. To reach the population whom do not frequent health centres the district health department organise consultations in villages once per month that are more than 15km from the health centre.